Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $147.27 / $354.68	Facility		$67.50	$147.27	$354.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $147.27 / $277.47	Professional		$115.85	$147.27	$277.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $205.64 / $205.64	Professional		$91.00	$205.64	$205.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $301.61 / $781.44	Facility		$257.45	$301.61	$781.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $148.53 / $360.28	Professional		$133.76	$148.53	$360.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $233.06 / $233.06	Professional		$233.06	$233.06	$233.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.64 / $274.19 / $370.16	Facility		$205.64	$274.19	$370.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $248.11 / $587.10	Professional		$179.19	$248.11	$587.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $323.06	Facility		$135.00	$135.00	$323.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $225.35	Professional		$98.55	$135.00	$225.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $135.00	Professional		$98.55	$135.00	$135.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.80 / $161.98 / $212.36	Professional		$117.80	$161.98	$212.36
United Facility/Professional Professional Modifier Low / Median / High Price $91.19 / $131.81 / $183.89	Professional		$91.19	$131.81	$183.89